| NPI | 1821567686 |
|---|---|
| Former Name | RANDI ALEXIS TRENT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178868) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 24394) |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2024-05-14 |